$AMSF·4/A

AMERISAFE INC · Nov 24, 6:21 PM ET

AMERISAFE INC 4/A

4/A · AMERISAFE INC · Filed Nov 24, 2015

Insider Transaction Report

Form 4/AAmended
Period: 2015-11-05
Gau Brendan
Exec.VP & Chief Investment Of.
Transactions
  • Exercise/Conversion

    Common stock, par value $0.01

    2015-11-05$15.60/sh+14,481$225,90435,837 total
  • Exercise/Conversion

    Employee Stock Option (right to purchase)

    2015-11-0516060,000 total
    Exercise: $15.60From: 2010-08-07Exp: 2019-08-07Common stock, par value $0.01 per share (160 underlying)
  • Exercise/Conversion

    Employee Stock Option (right to purchase)

    2015-11-0667945,000 total
    Exercise: $15.60From: 2011-08-07Exp: 2019-08-07Common stock, par value $0.01 per share (679 underlying)
  • Exercise/Conversion

    Employee Stock Option (right to purchase)

    2015-11-0610,28834,712 total
    Exercise: $15.60From: 2012-08-07Exp: 2019-08-07Employee Stock Option (right to purchase) (10,288 underlying)
  • Sale

    Common stock, par value $0.01

    2015-11-06$54.01/sh10,967$592,32821,356 total
  • Sale

    Common stock, par value $0.01

    2015-11-05$54.00/sh14,481$781,97421,356 total
  • Exercise/Conversion

    Common stock, par value $0.01

    2015-11-06$15.60/sh+10,967$171,08532,323 total
  • Exercise/Conversion

    Employee Stock Option (right to purchase)

    2015-11-0514,32145,679 total
    Exercise: $15.60From: 2011-08-07Exp: 2019-08-07Common stock, par value $0.01 per share (14,321 underlying)
Footnotes (4)
  • [F1]Amendment file to 1) correct transaction codes and 2) include the correct acquisition price of securities in Table I.
  • [F2]Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $54.00 and $54.07. The Reporting Person undertakes, upon request, to provide the SEC, the Issuer and any security holder of the Issuer, full information regarding the number of shares sold at each separate price.
  • [F3]Represents the weighted average selling price of the Issuer's common stock. The range of sales prices were between $54.00 and $54.03. The Reporting Person undertakes, upon request, to provide the SEC, the Issuer and any security holder of the Issuer, full information regarding the number of shares sold at each separate price.
  • [F4]The stock options became exercisable in five equal installments beginning on August 7, 2010, which was the first anniversary of the grant date.

Documents

1 file
  • 4
    doc4a.xml

    FORM 4/A SUBMISSION